Senior Accreditation Utilization Management Professional

Candidates must possess a Bachelor's Degree or BSN degree and have a minimum of 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management. Exceptional attention to detail, demonstrated excellent time management skills with proven ability to be flexible, adapt to changing environments, handle multiple tasks and deadlines, and manage multiple priorities are required. A commitment to continuous process improvement and exceptional verbal and written communication skills are also necessary, along with demonstrated successful relationship building and experience working with cross-functional business areas. Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health, is preferred, as is knowledge of MED-Deeming accreditation standards. Being a Registered Nurse or Behavioral Health Licensed Professional and having managed care, Medicaid health plan experience are considered additional qualifications.